Edbar Corp.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

82 Issued in MA

Legal business name

EDBAR CORP.

Practice address

459 Riverdale St
West Springfield, MA 01089-4605

Phone

(413) 733-3196

Fax

(413) 736-1037

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John P Bartolucci, ACA, BC-HIS

Title

Regional Director

Phone

(413) 733-3196

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avada Hearing Care Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033249487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894605",
            "telephone_number": "413-733-3196",
            "fax_number": "413-736-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894605",
            "telephone_number": "413-733-3196",
            "fax_number": "413-736-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDBAR CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTOLUCCI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "413-733-3196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACA, BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "82",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521276",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avada Hearing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nuliyar Dursun, MA IN PSYCHOLOGY
• Kristine Dustin, LICSW
• Kofi Dwamena, MS
• Torin Early
• Mya Eboigbe
• Kate Ejorheya
• Kayla Elgin, PA-C
• Geoff Elia, PT
• Kezian Havian Ellington
• Prinelsa Encarnacion

• Hearing Instrument Specialist in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Hearing Instrument Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.